David J Borcicky PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

77 Issued in AL

Legal business name

DAVID J BORCICKY PC

Doing business as

David Borcicky DPM

Practice address

2152 Airport Blvd
Suite 106
Mobile, AL 36606-1751

Phone

(251) 476-3338

Fax

(251) 473-4047

NPI assigned

Aug 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David John Borcicky, DPMNPI 1790850139

Title

Owner

Phone

(251) 476-3338

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• David Borcicky DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David John Borcicky, DPM

  • Podiatrist
  • Mobile, AL
  • NPI 1790850139
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1518970664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD",
            "address_2": "SUITE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061751",
            "telephone_number": "251-476-3338",
            "fax_number": "251-473-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD",
            "address_2": "SUITE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061751",
            "telephone_number": "251-476-3338",
            "fax_number": "251-473-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BORCICKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "BORCICKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-476-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HUMANA",
            "identifier": "129443828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Borcicky DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Mobile, AL
• Providers in Mobile, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.